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Periprocedural safety of aneurysm embolization with the Medina Coil System: the early human experience
  1. Aquilla S Turk1,
  2. Orlando Maia2,
  3. Christian Candido Ferreira2,
  4. Diogo Freitas2,
  5. J Mocco3,
  6. Ricardo Hanel4
  1. 1Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
  2. 2Department of Neurosurgery, Hospital Santa Teresa, Petropolis, Brazil
  3. 3Department of Neurosurgery, Mount Saini, New York, New York, USA
  4. 4Department of Neurosurgery, Baptist Hospital, Jacksonville, Florida, USA
  1. Correspondence to Dr AS Turk, Medical University of South Carolina, Department of Radiology and Radiological Sciences, 96 Jonathan Lucas Street, CSB 210, Charleston, SC 29425, USA; turk{at}musc.edu

Abstract

Introduction Intracranial saccular aneurysms, if untreated, carry a high risk of morbidity and mortality from intracranial bleeding. Embolization coils are the most common treatment. We describe the periprocedural safety and performance of the initial human experience with the next generation Medina Coil System.

Methods The Medina Coil System is a layered three-dimensional coil made from a radiopaque, shape set core wire, and shape memory alloy outer coil filaments. Nine aneurysms in five patients were selected for treatment with the Medina Coil System.

Results Nine aneurysms in five patients, ranging from 5 to 17 mm in size in various locations, were treated with the Medina Coil System. No procedural or periprocedural complications were encountered. Procedure times, number of coils used to treat the aneurysm, and use of adjunctive devices were much less than anticipated if conventional coil technology had been used.

Conclusions The Medina Coil System is a next generation coil that combines all of the familiar and expected procedural safety and technique concepts associated with conventional coils. We found improved circumferential aneurysm filling, which may lead to improved long term outcomes, with fewer devices and faster operating times.

  • Aneurysm
  • Coil

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